Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey Michael Wallace

Individual provider Physician Assistant · NPI 1619392974

Jeffrey Michael Wallace is a Physician Assistant in Fort Riley, Kansas. Qualified in 2014, 12 years ago. Practices with American Current Care PA, a 549-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014
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Practice location Address checks out

600 Caisson Hill Rd
Fort Riley, KS 66442-7037
Phone: (785) 239-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1619392974
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 24, 2014
Last updated in NPPESFebruary 24, 2014
Mailing address600 Caisson Hill Rd, Fort Riley, KS 66442-7037

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice American Current Care Pa — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Riley